Remote Workers' Comp Claims Examiner (NY)

Sedgwick; Charleston (WV); Remote; USD 90,000 - 95,000; Full time

Benefits offered by this job

Remote work option

Flexible schedule

Career development

Benefits: medical, dental, 401k

Job summary

Sedgwick is seeking a Lost-Time Workers’ Compensation claims examiner to analyze complex claims for NY jurisdiction and public entity clients. The role supports adjudication, settlement negotiations, and client communication in a remote-capable environment.

Ideal candidates bring 3–5 years of claims management experience, relevant licensing, and a commitment to excellence in service delivery within Sedgwick’s global network.

Qualifications

• Education & Licensing: HS diploma or GED required; Bachelor's preferred.
• 3–5 years of claims management experience.
• Public Entity Workers’ Compensation experience preferred.

Responsibilities

• Analyzing and processing claims through action plans to resolution.
• Negotiating settlement within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a timely manner.

Skills

Analytical thinking

Claims processing

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a Lost-Time Workers’ Compensation claims examiner to analyze complex claims for NY jurisdiction and public entity clients. The role supports adjudication, settlement negotiations, and client communication in a remote-capable environment.

Ideal candidates bring 3–5 years of claims management experience, relevant licensing, and a commitment to excellence in service delivery within Sedgwick’s global network.